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Organization

PUERTO RICO PRIMARY CARE MSO, INC. - RADIOLOGIA

Active
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Organization

PUERTO RICO PRIMARY CARE MSO, INC. - RADIOLOGIA

Active
Parent organization
PUERTO RICO PRIMARY CARE MSO, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
PUERTO RICO PRIMARY CARE MSO, INC.
Authorized official
KEILA CENTENO (ADMINISTRATOR)
(787) 534-3789
Entity
Organization

Contact information

Practice address
CALLE 14 DE JULIO NO 159, BO MATA DE PLATANO, LUQUILLO, PR 00773
(787) 885-4446
(787) 885-6129
Mailing address
PO BOX 818, CEIBA, PR 00735-0818
(787) 534-3789
(787) 885-2525

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—

Other

Enumeration date
02/08/2022
Last updated
02/24/2022
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